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Modern societies and organizations are characterized by multiple kinds of observations, systems, or rationalities, rather than singular identities and clear hierarchies. This holds true for healthcare where we find a range of different perspectives – from medicine to education, from science to law, from religion to politics – brought together in different types of arrangements. This innovative volume explores how this polycontexturality plays out in the healthcare arena. Drawing on systems theory, and Luhmann’s theory of social systems as communicative systems in particular, the contributors investigate how things – drugs, for example – and bodies are observed and constructed in different ways under polycontextural conditions. They explore how the different types of communication and observation are brought into workable arrangements – without becoming identical or reconciled – and discuss how health care organizations observe their own polycontexturality. Providing an analysis of healthcare structures that is up to speed with the complexity of healthcare today, this book shows how society and its organizations simultaneously manage contexts that do not fit together. It is an important work for those with an interest in health and illness, social theory, Niklas Luhmann, organizations and systems theory from a range of backgrounds including sociology, health studies, political science and management.
Traditionally, medical sociology texts have been written from a medical perspective, focusing primarily on health issues as they have been defined by doctors, and often reading much like health education textbooks. Weitz, instead, adopts a critical perspective, sometimes challenging medical perspectives, sometimes raising broader issues beyond those of interest to the medical world. This perspective, which is more thoroughly sociological, is now more common among instructors than the older medical perspective.
The main purpose of this book is to demonstrate that disease is socially produced and distributed. Becoming sick and unhealthy is not the result of individual misfortune or an accident of nature. It is a consequence of the social, political and economic organization of society. In developing this thesis, the author systematically introduces students to the major sociological explanations of the role and functions of medical explanations of disease. The book situates the student securely in the literature and provides a guide to the strengths and weaknesses of the major sociological approaches. It draws out the essential features of the major sociological contributions and elucidates how an appreciation of the dynamics of class, gender, ethnicity and the sociology of knowledge challenges medical power.
This book presents a comprehensive discussion of classical ideas, core topics, currents and detailed theoretical underpinnings in medical sociology. It is a globally renowned source and reference for those interested in social dimensions of health and illness. The presentation is enriched with explanatory and illustrative styles. The design and illustration of details will shift the minds of the readers from mere classroom discourse to societal context (the space of health issues), to consider the implications of those ideas in a way that could guide health interventions. The elemental strengths are the sociological illustrations from African context, rooted in deep cultural interpretations necessitated because Africa bears a greater brunt of health problems. More so, the classical and current epistemological and theoretical discourse presented in this book are indicative of core themes in medical sociology in particular, but cut across a multidisciplinary realm including health social sciences (e.g., medical anthropology, health psychology, medical demography, medical geography and health economics) and health studies (medicine, public health, epidemiology, bioethics and medical humanities) in general. Therefore, apart from the book’s relevance as a teaching text of medical sociology for academics, it is also meant for students at various levels and all health professionals who require a deeper understanding of social dimensions of health and illness (with illustrations from the African context) and sociological contributions to health studies in general.
The Sociology of Healthcare, Second Edition explores the impact of current social changes on health, illness and healthcare, and provides an overview of the fundamental concerns in these areas. This new edition features a brand new chapter entitled End of Life which will help health and social care workers to respond with confidence to one of the most difficult and challenging areas of care. The End of Life chapter includes information on changing attitudes to death, theories of death and dying, and palliative care. All chapters have been thoroughly updated to address diversity issues such as gender, ethnicity and disability. In addition, expanded and updated chapters include Childhood and Adolescence and Health Inequalities. The text is further enhanced through the use of case studies that relate theory to professional practice, and discussion questions to aid understanding. Links to websites direct the reader to further information on health, social wellbeing and government policies. This book is essential reading for all students of healthcare including nursing, medicine, midwifery and health studies and for those studying healthcare as part of sociology, social care and social policy degrees. In an age when health policy follows an individualist model of personal responsibility this book by Alan Clarke demonstrates with a vast array of evidence, just how much there is such a thing as society. An excellent overall book.Dr. Stephen Cowden, Senior Lecturer in Social Work, Coventry University
Sharp, bold and engaging, this book provides a contemporary account of why medical sociology matters in our modern society. Combining theoretical and empirical perspectives, and applying the pragmatic demands of policy, this timely book explores society′s response to key issues such as race, gender and identity to explain the relationship between sociology, medicine and medical sociology. Each chapter includes an authoritative introduction to pertinent areas of debate, a clear summary of key issues and themes and dedicated bibliography. Chapters include: • social theory and medical sociology • health inequalities • bodies, pain and suffering • personal, local and global. Brimming with fresh interpretations and critical insights this book will contribute to illuminating the practical realities of medical sociology. This exciting text will be of interest to students of sociology of health and illness, medical sociology, and sociology of the body. Hannah Bradby has a visiting fellowship at the Department of Primary Care and Health Sciences, King′s College London. She is monograph series editor for the journal Sociology of Health and Illness and co-edits the multi-disciplinary journal Ethnicity and Health.
`A Sociology of Health charts a way forward for a medical sociology that can make a positive contribution to medical practice and health policy′ - Dr Michael Fitzpatrick, East London GP and author of The Tyranny of Health `This is a very lively book that will stimulate good debate amongst students undertaking sociology of health courses in higher education′ - Mathew Jones, Senior Lecturer in Health and Social Policy, University of the West of England A Sociology of Health offers an authoritative and up-to-date introduction to the key issues, perspectives and debates within the field of medical sociology. The book will aid readers′ understanding of how sociological approaches are crucial to understanding the impact that health and illness have on the behaviour, attitudes, beliefs, and practices, of an increasingly health-aware population. The book is topical and unique in its approach, combining commentary and analysis of classic debates in medical sociology with contemporary issues in health care policy and practice. The content is wide-ranging, including chapters on: health scares, therapy culture, new dimensions of international health, changes in health care organisation and the feminization of health. Features such as case studies, questions for debate, and further reading sections are used throughout to promote critical reflection and further debate. A Sociology of Health offers readers a fresh approach to the subject, and will be essential reading for all undergraduate students on medical sociology and sociology of health and illness courses, as well as postgraduate students in related health and social care disciplines. David Wainwright is a Senior Lecturer in the School for Health, University of Bath.
Sociological Theories of Health and Illness reviews the evolution of theory in medical sociology beginning with the field’s origins in medicine and extending to its present-day standing as a major sociological subdiscipline. Sociological theory has an especially important role in the practice of medical sociology because its theories distinguish the subdiscipline from virtually all other scientific fields engaged in the study of health and illness. The focus is on contemporary theory because it applies to contemporary conditions; however, since theory in sociology is often grounded in historical precedents and classical foundations, this material is likewise included as it relates to medical sociology today. This book focuses on the most commonly used sociological theories in the study of health and illness, illustrating their utility in current examples of empirical research on a wide range of topics. The qualitative or quantitative research methods applicable to specific theories are also covered. Distinctions between macro and micro-level levels of analysis and the relevance of the agency-structure dichotomy inherent in all theories in sociology are discussed. Beginning with classical theory (Durkheim, Weber, and Marx) and the neglected founders (Gilman, Martineau, and DuBois), along with symbolic interaction (Mead, Strauss) and labeling theory (Becker), and poststructuralism and postmodernism (Foucault), coverage is extended to contemporary medical sociology. Discussion of the stress process model (Pearlin) is followed by the social construction of gender and race and intersectionality theory (Collins), health lifestyle theory (Cockerham), life course theory (Elder), fundamental cause theory (Link and Phelan), and theories of the medical profession (Freidson), medicalization and biomedicalization (Conrad, Clarke), and social capital (Bourdieu, Putnam, and Lin).
The second edition of A Handbook for the Study of Mental Health provides a comprehensive review of the sociology of mental health. Chapters by leading scholars and researchers present an overview of historical, social and institutional frameworks. Part I examines social factors that shape psychiatric diagnosis and the measurement of mental health and illness, theories that explain the definition and treatment of mental disorders and cultural variability. Part II investigates effects of social context, considering class, gender, race and age, and the critical role played by stress, marriage, work and social support. Part III focuses on the organization, delivery and evaluation of mental health services, including the criminalization of mental illness, the challenges posed by HIV, and the importance of stigma. This is a key research reference source that will be useful to both undergraduates and graduate students studying mental health and illness from any number of disciplines.
Originally published in 1987, this book builds bridges between medical sociology and mainstream theory. It does so by demonstrating in new and important ways how selected theories of major thinkers like Marx, Durkheim, Weber, Freud, Parsons, Goffman, Foucault, Habermas and Offe stand to inform, and in turn be informed by the often highly focused and empirical studies of health, disease and health care found in contemporary medical sociology. The topics covered include doctor-patient interaction and the formation of health policy.